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The mission of the journal Critical Care Nurse is to provide critical care and acute care nurses with accurate, relevant, and useful information concerning the bedside care of critically and acutely ill patients and to keep critical and acute care nurses informed on issues that affect their practice. By reading any issue of Critical Care Nurse, critical care and acute care nurses should benefit through increased knowledge concerning critical and acute care nursing practice and be able to use this knowledge to care for patients and their families in a more effective manner.
CNE Article: Managing Risk of Complications at Femoral Vascular Access Sites in Percutaneous Coronary Intervention Percutaneous coronary intervention for acute coronary syndrome or non–ST-elevation myocardial infarction requires the use of potent oral and intravenous anti-platelet and antithrombin medications. Although these potent antithrombotic agents and regimens may increase the effectiveness of percutaneous coronary intervention, they are also generally associated with an increased risk of vascular access complications such as hematoma, retroperitoneal hematoma, pseudoaneurysm, arterial occlusion, and arteriovenous fistula, which in turn are associated with increased morbidity, mortality, and costs.
Acquired Long QT Syndrome: Frequency, Onset, and Risk Factors in Intensive Care Patients. Acquired long QT syndrome occurs in patients not treated with a known QT-prolonging medication, indicating the importance of frequent QT monitoring of all intensive care patients.
CNE Article: Beyond the Bloody Mess: Hematologic Assessment. Hematologic assessment is part of the routine assessment of acute and critically ill patients. Nurses must be aware of the reference ranges for complete blood cell counts and common coagulation profiles. A case study is presented of an elderly patient, taking warfarin for atrial fibrillation, who falls and sustains a head laceration.
Coagulopathy in the Intensive Care Unit. Coagulopathy is a potential problem for many critically ill patients, placing them at risk for hemorrhage. Critical illness activates both hemostasis and the inflammatory-immune system, leading to both physiological and potentially pathophysiological responses.
CNE Article: Patients’ Confidentiality. Critical care providers are often privy to confidential information in the course of clinical practice. A dilemma can arise when confidential information is requested by family members or friends of the patient.
Normal Saline and Mucous Plugging. Current practice states not to use lavage, only suctioning. In doing so, I find patients are having the airway occluded by mucous plugs. Kindly advise.
Showing We Care With Hugs and Kisses. The act of nurturing friends and family with sentimental, nostalgic, or simply tasty food during times of illness, grief, and celebration is a long-standing tradition. Hence, the familiar term “comfort food.”
I Am a Critical Care Nurse. I have always liked being around people and helping others. At first I wanted to be a physician and in high school I took health careers, but I realized that being a nurse would allow me to care for patients in a much more rewarding way.
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